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Prioritizing delirium risk factors in nursing: a cross-sectional study using the analytic hierarchy process
Özge Zeki1, Perihan Güner2, Mustafa Zeki3
1American University of the Middle East, Egaila, 54200, Kuwait. ozge.zeki@aum.edu.kw.
BMC Nursing
|July 30, 2025
Summary
Nurses prioritize psychological factors over organic ones for delirium risk, indicating potential knowledge gaps. This study used the Analytic Hierarchy Process (AHP) to explore these perceptions and improve delirium prevention strategies.
Area of Science:
- Nursing Research
- Clinical Psychology
- Healthcare Management
Background:
- Delirium is a neuropsychiatric syndrome with significant patient outcome impacts.
- A gap exists between clinical practice and evidence-based delirium prevention and management.
- Understanding nurses' perceptions of delirium risk factors is crucial for improving care.
Purpose of the Study:
- To explore nurses' perceptions of delirium risk factors.
- To identify which delirium risk factors nurses prioritize.
- To examine the reasoning behind nurses' prioritization using the Analytic Hierarchy Process (AHP).
Main Methods:
- A cross-sectional study involving 234 nurses from five academic hospitals in Türkiye.
- Delirium risk factors were categorized by expert consensus.
- An AHP questionnaire was used for pairwise comparison, with data analyzed using MATLAB.
Main Results:
- Nurses identified age >65, noisy environments, living alone, and insufficient family interaction as key risk factors.
- Psychological causes (fear, anxiety, stress) were prioritized by over half of the nurses.
- Organic factors like anemia and cardiovascular disorders were ranked lower.
Conclusions:
- Significant discrepancies exist between nurses' prioritization and evidence-based delirium risk factors.
- Emphasis on psychological causes suggests potential knowledge gaps in delirium recognition.
- The AHP methodology provided reliable insights into nurses' perspectives, guiding future educational and policy interventions.
Keywords:
AHPAnalytic hierarchy processDecision makingDeliriumEvidence basedNursingPreventionRisk factorsMore Related Videos
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